Individual provider · Type 1 NPI
Jacquona Blackwell
Clinical Social Worker · Passaic, NJ
Practice location
532 Mckinley St
Passaic, NJ 07055-2218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 44SL07433600 (NJ) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1770428286
Jacquona Blackwell's National Provider Identifier is 1770428286, issued on Apr 21, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Passaic, NJ. The record was last updated on Apr 21, 2026.